PRECISION SHOE BRACE & LIMBS LLC
NPI: 1255582128
· LINDEN, NJ 07036
· Prosthetic/Orthotic Supplier
· NPI assigned 10/09/2008
$355.16
Total Medicaid Paid
Provider Details
| Authorized Official | GOODMAN, PAUL (PRESIDENT) |
| NPI Enumeration Date | 10/09/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$355.16 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A5500 |
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe |
14 |
12 |
$355.16 |